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General NPI Number Information
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NPI Number | 1528444379
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Entity Type | Individual
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Provider Name | AVINASH RAVIPATI MD
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Gender | Male
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Dates
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Enumeration Date | 08/04/2015
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Last Update Date | 10/03/2025
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Provider Practice Location Address
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Address Line | 12100 BLACK SWAN DR STE 104
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City | LEWES
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State | DE
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Zip | 19958-4991
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Country | US
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Telephone | 302-645-2244
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Fax | 302-645-1173
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Provider Business Mailing Address
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Address Line | 2423 WILLIAMS DR STE 107
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City | GEORGETOWN
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State | TX
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Zip | 78628-3269
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | C1-0023832
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License Number State | DE
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Taxonomy #2
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | 33839
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License Number State | OK
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Taxonomy #3
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | W1216
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License Number State | TX
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